Presentation
Anterior knee pain for 3 months, minor trauma?
Patient Data
Oblong ossification in region of distal end of patellar tendon.
Intrasubstance fluid cleft in mid line involving proximal - mid third fibres of tendon. Fluid cleft does not involve full thickness of tendon. It does not reach to superficial or deep surface of tendon.
Fibres of medial and lateral aspect of tendon are normal.
Calcification is noted in distal third of patellar tendon fibres.
Deep infrapatellar bursal fluid is noted.
Case Discussion
Findings of intrasubstance fluid cleft with calcification in patellar tendon favour changes of patellar tendinosis without tear.